- With Mayo Clinic emeritus hypertension specialist
Sheldon G. Sheps, M.D.
read biographyclose windowBiography of
Sheldon G. Sheps, M.D.
Sheldon G. Sheps, M.D.
Dr. Sheldon Sheps, emeritus professor of medicine and former chair of the Hypertension Division in the Department of Medicine at Mayo Clinic, has been with Mayo Clinic since 1960.
Dr. Sheps, a Winnipeg, Manitoba, native, is board certified in internal medicine and specializes in hypertension and peripheral vascular diseases. He developed a multidisciplinary approach with specially trained nurses, dietitians, technicians and educators to help form a team approach to the treatment of patients with abnormal blood pressure.
"I have always believed in involving the patient and family in their health care," he says. "I have asked for their understanding of the illness and issues and for participation in decisions. The Web is a natural extension of that, and now many more people can be informed."
Dr. Sheps chaired the sixth working group, and participated in the fourth, fifth and seventh groups, that developed the then-latest guidelines for hypertension under the auspices of the National Heart, Lung and Blood Institute (NHLBI). He helped write the latest American Heart Association (AHA) report on blood pressure measurement. He chaired an AHA group that produced an online accreditation for blood pressure measurement for health professionals. He has co-authored books, newsletters, CD-ROMs and other Mayo Clinic health information material and joined Mayo Clinic's Web team in 1998. He was medical editor-in-chief of both editions of the "Mayo Clinic on High Blood Pressure" book; the last edition was published in 2003. He was also medical editor-in-chief of "Mayo Clinic 5 Steps to Controlling High Blood Pressure,'' published in 2008.
He was section editor for each of the first three editions of "Hypertension Primer" for the American Heart Association.
Dr. Sheps was also chairman of the Science Base Subcommittee, National High Blood Pressure Education Program, and was a consultant to the Hypertension Initiative of the World Health Organization. In 1997, he was honored with the Individual Achievement Award on the 25th anniversary of the National High Blood Pressure Education Program of NHLBI. In 2009, he was honored as a Distinguished Mayo Alumnus.
Definition (3)
- Isolated systolic hypertension: A health concern?
- Blood pressure: Is it affected by cold weather?
- White-coat hypertension: When blood pressure rises at the doctor's office
Risk factors (2)
- Alcohol: Does it affect blood pressure?
- Menopause and high blood pressure: What's the connection?
Symptoms (1)
- Pulse pressure: An indicator of heart health?
Causes (5)
- Blood pressure: Does it have a daily pattern?
- Caffeine: How does it affect blood pressure?
- Blood pressure readings: Why higher at home?
- see all in Causes
Complications (1)
- Hypertensive crisis: What are the symptoms?
Treatments and drugs (5)
- Blood pressure medications: Can they raise my triglycerides?
- Calcium supplements: Do they interfere with blood pressure drugs?
- Diuretics: A cause of low potassium?
- see all in Treatments and drugs
Lifestyle and home remedies (10)
- Water softeners: How much sodium do they add?
- Weightlifting: Bad for your blood pressure?
- Blood pressure medication: Still necessary if I lose weight?
- see all in Lifestyle and home remedies
Alternative medicine (1)
- L-arginine: Does it lower blood pressure?
Mayo Clinic Health Manager
Get free personalized health guidance for you and your family.
Get Started
About our e-newsletters
- Free e-newsletters
- Mayo Clinic expertise
- We do not share your e-mail address
Housecall, our weekly general-interest e-newsletter, keeps you up to date on a wide variety of health topics with timely, reliable, practical information, recipes, blogs, questions and answers with Mayo Clinic experts and more. Our biweekly topic-specific e-newsletters also include blogs, questions and answers with Mayo Clinic experts, and other useful information that will help you manage your health.
Housecall Archives
Mayo Clinic Housecall
Stay up to date on the latest health information.
What you get
- Free weekly e-newsletter
- Mayo Clinic expertise
- Recipes, tools and other helpful information
- We do not share your e-mail address
Question
Hypertensive crisis: What are the symptoms?
What is the definition of a hypertensive crisis? If I notice a spike in my blood pressure, what should I do?
Answer
from Sheldon G. Sheps, M.D.
A hypertensive crisis is a severe increase in blood pressure that can lead to a stroke. Extremely high blood pressure — a systolic (top number) blood pressure of 180 millimeters of mercury (mm Hg) or higher and a diastolic (bottom number) blood pressure of 120 mm Hg or higher — damages blood vessels. They become inflamed and may leak fluid or blood. As a result, the heart may not be able to pump blood effectively.
A hypertensive crisis is divided into two categories: urgent and emergency. An urgent hypertensive crisis is when your blood pressure is extremely high, but your doctor doesn't suspect you have any damage to your organs. Signs and symptoms of an urgent hypertensive crisis may include:
- Increased blood pressure
- Severe headache
- Severe anxiety
- Shortness of breath
An emergency hypertensive crisis is when your blood pressure is extremely high, and has caused damage to your organs. An emergency hypertensive crisis can have life-threatening complications, such as:
- Fluid in your lungs (pulmonary edema)
- Brain swelling or bleeding
- A tear in your heart's main artery (aortic dissection)
- Heart attack
- Stroke
- High blood pressure with seizures (eclampsia), if you are pregnant
If you experience a severe increase in your blood pressure, seek immediate medical attention. Treatment for hypertensive crisis may include hospitalization for treatment with oral or intravenous (IV) medications.
Next questionBlood pressure medications: Can they raise my triglycerides?
- Vaughan CJ, et al. Hypertensive emergencies. The Lancet. 2000;356:411.
- Aggarwal M, et al. Hypertensive crisis: Hypertensive emergencies and urgencies. Cardiology Clinics. 2006;24:135.
- Kaplan NM, et al. Treatment of specific hypertensive emergencies. http://www.uptodate.com/home/index.html. Accessed June 24, 2009.
- Chobanian AV, et al. The seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. New England Journal of Medicine. 2003;289:2560.
